MELISSA BOWMAN (PPCNP-BC) – Pediatric Nurse Practitioner, NPI 1578949202
Pediatric Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MELISSA BOWMAN (PPCNP-BC)
4406 PARKHURST DR
MIDLAND, TX 797073327
Phone: (585) 705-3471
Type: Mailing
4214 MAMIES CIR
MIDLAND, TX 797072123
Phone: (432) 620-8687
Fax: (432) 682-1831
Type: Location
1209 MOUNTAIN ROAD PL NE STE N
ALBUQUERQUE, NM 871107845
Phone: (575) 298-7788
Type: Mailing
4015 22ND PL
LUBBOCK, TX 794101119
Phone: (806) 725-0000
Type: Location
910 FOUNDERS RD
MIDLAND, TX 797062979
Phone: (585) 705-3471
Type: Mailing
316 SECOR ST
MIDLAND, TX 797016343
Phone: (432) 620-1111
Type: Location
1209 Mountain Road Pl NE Ste N
Albuquerque, NM 871107845
Phone: (575) 298-7788
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: ABBVIE INC. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-12-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201231000373 | I | Nurse Practitioner | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 79707)
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Reviews
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